Provider Demographics
NPI:1639745094
Name:FAVORITE HOME CARE LLC
Entity Type:Organization
Organization Name:FAVORITE HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:OLENA
Authorized Official - Middle Name:
Authorized Official - Last Name:RADIONOVSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-839-0111
Mailing Address - Street 1:950 STREET RD
Mailing Address - Street 2:
Mailing Address - City:SOUTHAMPTON
Mailing Address - State:PA
Mailing Address - Zip Code:18966-4714
Mailing Address - Country:US
Mailing Address - Phone:267-839-0011
Mailing Address - Fax:
Practice Address - Street 1:950 STREET RD
Practice Address - Street 2:
Practice Address - City:SOUTHAMPTON
Practice Address - State:PA
Practice Address - Zip Code:18966-4714
Practice Address - Country:US
Practice Address - Phone:267-839-0011
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-27
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty